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Preterm Very Low-Birth Weight Babies: Outcome of Admitted Newborns at A Community-Level Medical College Hospital in Bangladesh
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نویسنده
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AHMED ASMNU ,ROB MA ,RAHMAN F ,RAHMAN R ,HUDA N
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منبع
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journal of bangladesh college of physicians and surgeons - 2008 - دوره : 26 - شماره : 3 - صفحه:128 -134
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چکیده
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Very low birth weight (vlbw) premature infants are at increased risk of morbidity and mortality, mainly due to infections and complications of prematurity. the present article is a descriptive analysis of the most common reasons for hospital admission of vlbw infants, morbidity during hospital stay, and their immediate outcome at a community level medical college hospital in bangladesh. sixty vlbw neonates (< 1,500 grams weight), 37 males and 23 females, < 72 hours of age were enrolled prospectively from march 2005 to february 2007; 4 babies were excluded. thirty-four babies were hospital born and 26 home delivered cases admitted postnatally. the mean birth weight and gestational age of the newborns were 1270 ± 169 grams and 30.9 ± 2.9 weeks respectively. forty-one of 60 cases (68.3%) mothers received at least one antenatal care visit. common clinical presentations were prematurity alone (36.7%) and its complications like delayed crying (25.0%), feeding problem (23.3%), lethargy (16.7%), hypothermia (10.0%) and respiratory problem (8.3%). the commonest morbidity during hospital stay was neonatal hyperbilirubinemia requiring phototherapy (26.7%), apnoea of prematurity (15.0%), and septicaemia (11.7%). the overall survival rate was 56.7%; most of the deceased cases were those < 1250 grams (15/28, 53.6%) and < 30 weeks of gestation (17/30, 56.7%). no infant with a birth weight < 850 grams or a gestational age < 28 weeks survived. the most common cause of death was birth asphyxia (38.5%), followed by extreme prematurity (26.9%), and septicaemia (19.2%). very low birth weight infants had relatively higher survival rates probably due to low infection rate.
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آدرس
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Kumudini Women's Medical College, Bangladesh, Kumudini Women’s Medical College, Bangladesh, Kumudini Hospital, Bangladesh, Kumudini Hospital, ICDDR,B Project, Bangladesh, Kumudini Hospital, ICDDR,B Project, Bangladesh
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Authors
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